Organization
DAMERON MEDICAL GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LORRAINE P. AUERBACH (SECRETARY)
(209) 461-3100
Entity
Organization
Contact information
Practice address
530 W ACACIA ST, STOCKTON, CA 95203-2454
(209) 461-3196
(209) 461-7593
Mailing address
420 W ACACIA ST, SUITE 13, STOCKTON, CA 95203-2441
(209) 461-3196
(209) 461-7593
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
09/05/2013
Last updated
09/13/2013
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